Clinical Cases

Frequent Burning Urination in a Man of 62

Written by Vipul Shastri

Dr. Vipul Shastri shares an acute case of urinary frequency with burning pain. Both Cantharis and Belladonna were needed to resolve the issue.

Abstract: Acute diseases are always very important to treat with any modality. As per Aphorism 73, when we have the correct interpretation of acute disease, we will be able to treat it with homoeopathy within a few hours. Here is a case of prostate enlargement in which there was the acute complaint of severe urinary frequency and pain.

Name: A.D.  
Age: 62 years

Chief Complaint:
A male of 62 years presented with complaint of frequent urination [approx. 25- 30 times a day], severe burning, urging to urinate for the last month. Due to severe burning patient was in agony and very uncomfortable and was advised for hospitalization. His son was taking homoeopathic treatment and advised him get a homeopathic consult. When patient came to consulting room he had only symptoms of frequency of urination and burning.

O.D.P. :
Patient was well before one month then he was suddenly suffering from this urinary problem. He had taken allopathic medication for it but found no relief and decided to consult me.

Thirst: Thirstless
Thermal Reaction: Chilly
PSA was 12.
RUA report showed 35-40 pus cells.

Prescription:
As per symptoms Cantharis 30 was given in water potency.
[He was advised to stop antibiotics and repeat RUA after 3 days]

1st Follow up:
During the first follow up on the 3rd day of medicine patient came to the OPD and reported that he got 50% relief in frequency but severe burning was still present.
RUA shows 15-20 pus cells.

As complaint was still present it required further management.
Belladonna 30 was given as its acute and follows Cantharis well.

2nd follow up:
On the 3rd day of 1st follow up he said that burning was relived about 80%
And RUA report shows 2-3 pus cell.

Symptoms of Cantharis 1
Urine.–Intolerable urging and tenesmus. Nephritis with bloody urine. Violent paroxysms of cutting and burning in whole renal region, with painful urging to urinate; bloody urine, by drops. Intolerable tenesmus; cutting before, during, and after urine. Urine scalds him, and is passed drop by drop. Constant desire to urinate. Membranous scales looking like bran in water. Urine jelly-like, shreddy.

Belladona was given as patient was feeling slightly better and it followed cantharis well.

Symptoms of Belladona 1
Urine.–Retention. Acute urinary infections. Sensation of motion in bladder as of a worm. Urine scanty, with tenesmus; dark and turbid, loaded with phosphates. Vesical region sensitive. Incontinence, continuous dropping. Frequent and profuse. Hæmaturia where no pathological condition can be found. Prostatic hypertrophy.

Discussion

On first consultation the pus cell was 35-40 which was decreased to 2-3 in just one week. This shows how well Cantharis worked. Belladona was given as it follows Cantharis well. It is very important that the 2nd prescription must be in relation to the first one and will help give more relief to the patient.

This case highlights the usefulness of Belladonna in the acute cases.

Reference:
1.Boericke W., Pocket Manual of Homoeopathic Materia Medica, 9th Edition, Pg No: 112, 165

About the author

Vipul Shastri

Dr. Vipul Shastri (M.D. (Hom.) is Principal, Vidhyadeep Homoeopathic Medical College and Research Centre, Anita, Dist., Surat. He is Dean, Faculty of Homoeopathy, Veer Narmad South Gujarat University, Surat. He has 25 years academic as well as clinical experience. He has given webinars and seminar in homoeopathy and his articles have been published in various national Journals.

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